Shanna Leigh Blinderman | Chicago, IL • PECOS Search

Shanna Leigh Blinderman

Social Worker

Behavioral Health & Social Service Providers

2746 1/2 N Hampden Ct, Apt. 4cc, Chicago, IL 60614-1697

PECOS Enrollment

Based on the most recent information from CMS, provider Shanna Leigh Blinderman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1538617535
Provider Type
Individual
Full Name
Blinderman, Shanna Leigh
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/19/2016
Last Updated
9/19/2016

Contact Information

Practice Location

2746 1/2 N Hampden Ct, Apt. 4cc, Chicago, IL 60614-1697

Unlisted Fax

Mailing Location

2746 1/2 N Hampden Ct, Apt. 4cc, Chicago, IL 60614-1697

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.016946 Illinois